Abstract
Left ventricular pseudoaneurysm is an unusual complication of aortic valve replacement. Angina pectoris due to coronary compression by the pseudoaneurysm is extremely rare. We report a case in which the patient received a second aortic valve replacement because of infective endocarditis complicated by abscess formation. This 60-year-old man developed angina pectoris and heart failure one year after the operation. A left ventricle outlow tract pseudoaneurysm with compression of the left coronary arteries in the systolic and early diastolic phases was found. A third aortic valve replacement and a patch repair of the aneurysm were performed and the symptoms of angina and heart failure subsided after surgery.
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